Department of Energy
Operating Experience Committee (OEC)
Coordinated by the Office of Analysis (HS-24)
Conference Call Minutes
Tuesday, July 9, 2013
Time: 11:00 a.m. - 12:30 p.m. ET
Call-In Number: 303-248-0285 Access Code: 5863657 (Use for Call and Webinar)
Agenda
Welcome and Introduction / Ashley RuoccoSite Operating Experience Discussions / All
External Organizations Operating Experience and Lessons Learned Discussion / All
Update on Office of Analysis and Corporate Operating Experience Initiatives / Ashley Ruocco
Roundtable / Subjects for Next Call / All
Welcome / Participants
# / NAME / SITE /1 / Allen, Randi / LASO
2 / Bailey, Mary Jo / JLAB
3 / Barrick, William / NVSO
4 / Blank, Betsy / WRPS
5 / Booker, Craig / ORO
6 / Brown, Sharon / DOE HQ
7 / Butler, Mike / SNL
8 / Calloway, Greg / SLAC
9 / Clark, John / NETL
10 / Day, Nancy / SRS
11 / Farrell, Richard / CBFO/WIPP
12 / Fogel, Doug / PORTS
13 / Forshey, Cathy / WEMS-PORTS
14 / Gould, Wes / NNSA
15 / Ha, Trang / LSO
16 / Harness, Jerry / OR
17 / Harris, Allan / EMCBC
18 / Hauptmann, Michael / BNL
19 / Heeter, Tom / OR
20 / Hicks, Clyde / KCSO
21 / Horning, Jeff / LLNL
22 / Hutto, Rod / SRS
23 / Ito, Fran / WIPP
24 / Kirkes, Brenda / WIPP
25 / Langstaff, Dave / RL
26 / Lopez-Cardona, Emma / DOE HQ
27 / Lowry, William / NETL
28 / Lyons, Tom / ITSI
29 / Menas, Matt / NETL
30 / Minton, Lauri / Pantex
31 / Mitchell, Lisbeth / BEA-INL
32 / Moussa, Frank / DOE HQ
33 / Napier, Amanda / WEMS-PORTS
34 / Neil, David / ID
35 / Perkins, Larry / DOE HQ
36 / Polanish, Caroline / BSO
37 / Rao, Nimi / DOE HQ
38 / Robison, Camille / AMWTP
39 / Rogers, Jessica / SNL
40 / Ruocco, Ashley / DOE HQ
41 / Schumann, Craig / ASO
42 / Schutt-Bradley, Joanne / OR/ETTP
43 / Shidal, Suzanne / LATA-KY
44 / Skokan, Bryan / PT&C
45 / Staffo, Gary / EE
46 / Stirling, Larry / DOE HQ
47 / Stone, Roger / PEC
48 / Stuewe, Bob / LANL
49 / Thomason, Gail / PEC
50 / White, JD / SS/Paducah
51 / Whitney, Gerry / RL
52 / Williams, Cherylynne / DOE HQ
53 / Williams, Heidi / DOE-CH
Welcome and Introduction
Ashley Ruocco – Ruocco welcomed all to the call and introduced those at HQ in Germantown. Please continue to email your attendance to Gail Thomason so we credit all attendees that we might not hear. Gail will also be assisting with the minutes to the OEC calls; this support is very much appreciated.
Site Operating Experience Discussions
1. Livermore Site Office (LSO)/ LLNL
· Recently submitted a Lesson Learned about the importance of like-for-like when replacing components. Workers did not use like-for-like recently when replacing light sources in equipment. They used higher wattage bulbs than the specifications called for, resulting in heat damage to the equipment and a potential burn and fire hazard.
2. Los Alamos Site Office (LASO) / LANL
· The cause of the June 2011 Los Conchas wildfire in New Mexico was determined to have been a power line downed by a fallen tree. It was the largest fire in New Mexico history and consumed more than 156,000 acres. The recent wildfire was also caused by a downed power line in tinder-dry conditions – and homeowners who lost property are suing the power company for not maintaining the power lines by cutting and removing at-risk trees. LL for sites and property owners: Be proactive and trim or remove questionable trees and branches.
3. Portsmouth/Paducah Project Office(PPPO)
· Recently submitted a Lesson Learned about controlling contamination on equipment (in this case a drill rig) used during soil sampling operations. The drill rig had undergone pre-job inspections and surveys and was not contaminated; however, after the work, it underwent surveys for release to another job and contamination above release limits was found in several places. Investigation showed that contaminated dirt, mud, and debris had dropped out of the carrier and onto several places below, including under the battery box. In order to prevent recurrence, the project changed how drill tooling was handled. An expanded metal carrier was purchased that fit into a trailer receptacle at the back of the unit to prevent dirt and debris from falling onto the rig. Also, a pickup truck was used for tool staging; it was lined with plastic to avoid contamination. After the changes were implemented, outbound surveys found no contamination. (2013G-LL-LATA-0889)
4. Stanford Site Office (SSO)
· Reported that the shared SLAC - PNNL Lessons Learned program has gone “live” and has received positive feedback from users. HS-24 will be interested in learning more about the partnership.
External Organizations Operating Experience and Lessons Learned Discussion
ITSI Gilbane Company
An update regarding chain failures on powered industrial trucks (PPT file on OE Wiki)
was provided by TJ Lyons. Chain failures highlight the ongoing issues all sites have
when dealing with rental equipment:
Has the maintenance been performed? When? Is it documented?
Lyons cautioned against the urge to maintain the work schedule by attempting to correct a problem on the spot, such as performing a quick lube on unlubricated chains. A quick fix does not address other potentially unseen
problems and doesn’t correct the basic problem: that the rental company did not maintain equipment.
LANL-Stuewe concurred, saying that their walkdowns had discovered the same chain issue and as a result, it had been added to the pre-operation checklist. LANL has had similar problems with sheared bolts on rental equipment and the issue of verifying that rental equipment has been maintained.
External OE Presented by HS-24 (all files/links are available on the OE Wiki):
Ø DOE Spotlight- July 2013
Ø User Advisory Notice on 3M Model 6000 Full-Face Respirators
o DCS 1787
o ORPS Report: NA--YSO-BWXT-Y12SITE-2013-0013 (Discovery Date 6/13/13)
o The filter has three points of contact, one of which may come loose.
Ø NSC Employee Wellness: Make Healthy Decisions
Ø OH&S Article: Hong Long Closely Monitoring Avian Flu Cases
o Hong Kong’s Centre for Health Protection's latest update, issued July 3, said 50 suspected human cases have been received since March 31.
o http://ohsonline.com/articles/2013/07/04/hong-kong-closely-monitoring-avian-flu-cases.aspx
Ø Arizona Wildfire Tragedy- 19 Firefighters Killed
o On June 30, 19 members of the Prescott-based Granite Mountain Hotshots positions were overrun by the wildfire, which was fanned by extreme, heavy winds, according to the Serious Accident Investigation Team of local, state and federal officials.
o The Hotshot crew was building a fireline to keep it from the mountain town of Yarnell.
o http://www.usatoday.com/story/news/2013/07/06/preliminary-report-on-yarnell-harizona wildfire 19ill-fire-deaths-19-firefighters-were-trapped-by-flames/2495613/
Update on Office of Analysis and Corporate
Operating Experience Initiatives
- ORPS Order and OE Order implementation- Ruocco
· DOE O 232.2, Occurrence Reporting and Processing of Operations Information. Responses to Frequently Asked Questions is currently within HS-20 management review.
· One-Year Accuracy Review of DOE Order 232.2, Occurrence Reporting and Processing of Operations Information. . In April, HS-24 updated the ORPS Task Group and requested feedback on specific Reporting Criteria. Suggestions are in review with HS-24 management.
· DOE O 210.2A, DOE Corporate Operating Experience Program. No issues/questions on DOE O 210.2A were presented.
- Corporate OE documents under development or recently released- Ruocco
· Newly released:
o OES Article: Fall Fatality While Installing Work Platform at Remote
Bonneville Power Administration Project (located on OES Blog;
will be bundled with the next OES article that is finalized)
· Under Development:
o Draft OE-3: Dangers of Respirable Silica- adding the recent ORPS Report: SC--TJSO-JSA-TJNAF-2013-0003, FML-13-0702-NEW Silica over 2005 ACGIH TLV exposure limits in Test Lab, to the current draft
o Draft OES Article: Accident Investigation into Serious Injuries from Fall Off Fixed Ladder
o Draft OES Article: Accident Investigation: Contamination at Los Alamos Neutron Science Center due to Deficiencies in Conduct of Operations
o OEC Member provided a possible OE Summary article topic on Lock Out / Tag Out (LOTO) events during June 2013 OEC Call. HS-24 is researching LOTO events and preparing an analysis report for HS-24 management. From January 1 to July 8, 2013, 50 ORPS reports have been issued on LOTO violations. The rate of LOTO ORPS reports is on the rise as compared to previous years (2010: 73, 2011: 66, 2012: 89)
- OE Wiki - Ruocco
· OE Wiki Use (Data from January 2010- May 2013)
o The wiki has had visitors from all 50 states and Washington, DC.
o 93% of the visitors to the wiki come from the United States. The remaining 7% comes from 136 additional countries across six continents.
· Recent OE Wiki Video
o University of California, San Diego, Stay Protected
o To access the Video: http://operatingexperience.doe-hss.wikispaces.net/
Please send any OE relevant videos that you would like to see on the OE Wiki to Ruocco.
- Self-Assessment reviews on the effectiveness of the OE Program- Ruocco
· A memo is drafted and within review that requests line programs and the field formally verify OE Program Coordinators and members, as well as reminds all of the requirements and responsibilities listed in DOE O 210.2A.
Please continue providing feedback on OE Program improvements.
- Lessons Learned Program and Database- Ruocco
· HQ Lessons Learned Database improvements/upgrades will be reviewed with HS-24 management the week of July 8, 2013. Next steps will be discussed.
Roundtable
Action- Guest Speaker Volunteers requested. If you would like to present to the OEC, please call Ruocco to volunteer. Thank you in advance!
After ending the meeting, a few members had individual questions or items that they discussed with Ruocco. This was a great way to speak with members one-on-one and answer any questions. On future calls, please feel free to stay on the line after the end of the call if you have any items that you would like to discuss with Ruocco.
Operating Experience Websites:
OE Documents (HSS) - http://www.hss.doe.gov/SESA/Analysis/oel.html
OE Summaries (HSS) - http://www.hss.doe.gov/sesa/Analysis/oesummary/index.html
OE Wiki - http://operatingexperience.doe-hss.wikispaces.net/
OES Blog - http://oesummary.wordpress.com/
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